STOMACH AND JEJUNUM - Anastomotic ulcer

The specimen consists of a portion of the stomach, anastomosed to a short length of small intestine; just below the gastro-jejunal anastomosis there are two punched-out ulcers, the largest being approximately 1 cm. in diameter.
Five-and-a-half years before this lesion was removed, the patient showed symptoms of a duodenal ulcer. This healed on conservative treatment. Two-and-a-half years ago the patient was admitted to hospital with a bleeding gastric ulcer, and partial gastrectomy was carried out. The patient was well until eight weeks before the present admission, when he came into hospital with gastrointestinal bleeding, and a revision gastrectomy was carried out.